NATIONAL ASSOCIATION OF BLACK SOCIAL WORKERS · 15 hours ago
FBH Quality Management Analyst
Tukwila, WA
Contract
Onsite
Entry Level
$31.50/hr - $35.04/hr
1+ years expThe National Association of Black Social Workers is seeking a Quality Management Analyst to support their Clinical Operations Manager in Tukwila, WA. This role involves overseeing performance management practices, ensuring compliance with Medicaid regulations, and collaborating with clinical programs to evaluate and improve clinical practices and outcomes.
CharityCommunitiesHumanitarianNon Profit
Responsibilities
Ensure data entry integrity
Take lead responsibilities, along with Clinical Operations Manager, to develop, train, and implement Medicaid and healthcare coding compliance strategies to ensure staff documentation is in compliance with Medicaid laws and regulations. This includes taking lead responsibilities to train and implement office strategies and providing ongoing training for compliance oversight and prevention of Medicaid Fraud and Abuse
Directly review and prepare clinical documentation data, assisting site leadership in ensuring data integrity and compliance for mandated Audit and compliance reviews
Conduct systematic site encounter reviews to verify accuracy of data entry and charting, ensuring errors are corrected and encounters are documented accurately
Participate in county, state and federal data integrity audits and reviews
Provide oversight for tracking of safety crisis plans, ensuring timely and accurate completion of crisis plans and document entry into case file
Assist Clinical Operations Manager in training staff in various CQI areas that include Medicaid Fraud and Abuse
Provide lead support in site CQI meetings to ensure site CQI activities are tracked and documented so they can be reported to FBH system leadership
As part of the site CQI team, represent FBH at MCO/BHO Provider CQI meetings and trainings
Participate in regular CCS administrative team meetings
Develop and distribute reports to leadership, both routine and ad hoc, including staff activity, consumer encounter outcome and service reports. These reports are vital to clinical oversight by clinical supervisors and are used to track clinical intensity and service outcomes
Ensure consumer information is accurate at all times, tracking consumers by service type at intake and exit using current data collection system so that site clinical outcomes can be evaluated
Work with data and report tracking in EHR to develop and distribute tracking reports to leadership, both routine and ad hoc, ensuring accuracy of data and compliance with required timelines for clinical chart documentation
Work in tandem with clinical staff to review Carelogic data and outcome reports and provide feedback to Clinical Supervisors on CQI quality of their staff
Complete the risk summary report for all incident reports that are submitted by staff to be turned in with the CQI quarterly reports
Maintain the tracking and inputting of the 90 day and discharge Child and Adolescent Needs and Strengths assessment and provide data to the WISe Referral Coordinator
Create, update and make available to staff BRS, FAST and Behavioral Health forms in charts
Maintain an adequate supply of intake packets and blank clinical charts
Maintain master copy of clinical forms and ensure an adequate supply to all staff
Create and maintain electronic version of clinical form, including updates as required by BHO/MCO and Federal/State requirements and train staff in their use
Support the supervisors and staff with ongoing peer review protocol and process
Assist the Clinical Operations Manager and Supervisors to regularly schedule peer reviews and other CQI training courses
Support staff in participating in these regularly scheduled events
Provide technical support to Clinical staff in file organization and oversee the filing of DSS into charts in a timely manner
Assist Clinical staff in keeping charts up to date with proper filing of DSS and other documents
Support Clinical Staff in following the process of 'closing' and filing all charts appropriately in the chart room
Keep the chart room organized, assisting the staff check out charts when necessary
Monitor the closing of charts and support staff to complete this process
Complete content reviews while the CQI and Clinical Intake Specialist oversees the completion of the clinical chart review
Monitor and track timely submission of paperwork for opening cases, submission of data set, assessment, treatment plan, Special Population consults, treatment reviews, case closure, etc
Develop and distribute tracking reports to leadership for documents that are required but missing from the closed clinical charts
Other duties as assigned
Qualification
Required
Bachelor's Degree in Social Services or related field
Knowledge and competency of Behavioral Health CQI processes, Medicaid standards, and clinical requirements for clinical chart documentation
One or more years of administrative experience or experience in quality assurance activities
Knowledge of contemporary office software including Microsoft products: Word, Excel, Outlook and Access (or similar)
Ability to demonstrate accurate efficient data entry
Ability to support, motivate and assist staff in completion of quality assurance activities
Excellent organizational skills with the ability to work in a very busy/diverse environment
Excellent interpersonal and organizational skills with the ability to communicate respectfully with families and professionals
Excellent written and oral communication skills
Must have reliable transportation, valid driver's license, and automobile insurance
Must have an acceptable driving record per CCS' driving policy, (required to provide current driving abstract)
Proof of negative TB test within past 12 months or ability or test within first six months of employment
Applicant must successfully pass required background checks prior to an offer of employment
Ability to work both independently and as a member of a team
Support and uphold the mission, beliefs and values of Catholic Community Services and Catholic Housing Services
Demonstrates the necessary attitudes, knowledge and skills to deliver culturally competent services and work effectively in multi-cultural situations
Preferred
Knowledge of quality improvement theory, principles and practice approaches
Experience working in a private non-profit system
Two years or more experience in social services
Experience working as a member of a team
Ability to work with a diverse spectrum of people
Benefits
Medical
Dental
Vision Insurance
Life Insurance (1 times annual salary)
Retirement Plans: 403-B Employee Savings Plan and an Employer Contribution Pension
11 paid holidays; plus 1 personal holiday each year!
3 weeks’ vacation hours earned during the 1st year
12 sick days per year
Company
NATIONAL ASSOCIATION OF BLACK SOCIAL WORKERS
National Association of Black Social Workers is a non-profit that aims to enhance life and empower people of African ancestry.
2-10 employees
Funding
Current Stage
Early StageTotal Funding
unknownKey Investors
Gilead Sciences
2024-02-27Grant
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